Hypervitaminosis D.

ʻO Hypervitaminosis D kahi kūlana e kū ma hope o ka lawe ʻana i nā kaha kiʻekiʻe o ka wikamina D.

ʻO ke kumu ka nui o ka lawe ʻana o ka wikamina D. Pono nā kiʻekiʻena e kiʻekiʻe kiʻekiʻe, ma mua o ka mea a ka hapa nui o nā kauka e kuhikuhi ai.

Nui ka piʻoloke e pili ana i ka hoʻoliʻiliʻi vitamina D. ʻO ka ʻāpono i kēlā me kēia lā (RDA) no ka wikamina D ma waena o 400 a me 800 IU / lā, e like me ka makahiki a me ke kūlana hāpai. Pono paha nā kiʻekiʻena kiʻekiʻe no kekahi poʻe, e like me ka poʻe me ka lawa ʻole o ka wikamina D, hypoparathyroidism, a me nā kūlana ʻē aʻe. Eia nō naʻe, ʻaʻole pono ka hapa nui o ka poʻe ma mua o 2,000 IU o ka wikamina D i ka lā.

No ka hapanui o ka poʻe, kū ka lāʻau Damina wale me nā lāʻau wikamina D ma luna o 10,000 IU i kēlā me kēia lā.

Hiki i kahi keu o ka wikamina D ke kumu i kahi kiʻekiʻe kiʻekiʻe o ka calcium i loko o ke koko (hypercalcemia). Hiki i kēia ke hōʻino loa i nā puʻupaʻa, nā mea palupalu, a me nā iwi i ka hala ʻana o ka manawa.

Aia nā ʻōuli me:

• Konipōpō
• Hoʻoemi i ka makemake (anorexia)
• Make wai
• Ka luhi
• Urination pinepine
• Huhū
• Nāwaliwali ka ʻiʻo
• ʻO ka luaʻi
• Make wai loa (polydipsia)
• Piʻi koko kiʻekiʻe
• Ke hele nei i ka nui o ka mimi (polyuria)

E nānā ka mea mālama ola iā ʻoe a nīnau e pili ana i kāu mau hōʻailona.

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Kalipuna i loko o ke koko
• Kalipuna i ka mimi
• 1,25-dihydroxy wikamina D pae
• Pōhaku paʻakai
• X-ray o ka iwi

E haʻi paha kāu mea lawelawe iā ʻoe e haʻalele i ka lawe ʻana i ka lāʻau D. A i nā hihia koʻikoʻi, pono ʻia i kahi lāʻau ʻē aʻe.

Manaʻo ʻia ka hoʻōla hou ʻana, akā hiki i ka hōʻino kīhā paʻa mau ke hiki.

Nā pilikia olakino i hiki ke hopena ʻia mai ka lawe ʻana i ka wikamina D ma mua o ka lōʻihi.

• Make wai
• Hypercalcemia
• Poino hakuʻala
• Pohaku hakuʻala

Kāhea i kāu mea hāʻawi inā:

• Hōʻike ʻoe a ʻo kāu keiki paha i nā ʻōuli o ka hypervitaminosis D a ke lawe nei i ka wikamina D ma mua o ka RDA
• Hōʻike ʻoe a ʻo kāu keiki paha i nā ʻōuli a ke kiʻi nei i kahi palapala a i ʻole over-the-counter ke ʻano o ka lāʻau D

I mea e pale aku ai i kēia ʻano, e nānā pono i ka lāʻau vitamin D kūpono.

Nui nā hoʻohui huaora i hoʻohui ʻia i loko ka wikamina D, no laila e nānā i nā lepili o nā mea hoʻohui āpau āu e lawe nei no ka ʻike vitamin D.

ʻO ka lāʻau Vitamin D

Aronson JK. Nā Huahana analog D I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 478-487.

Greenbaum LA. ʻO ka hemahema o ka Vitamin D (rickets) a ʻoi aku. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 64.